Individual provider Active NPI

Kelsey Leigh Stone, R.D

  • Registered Dietitian
  • Midlothian, VA
National Provider Identifier
1982955951
Registry record updated Jan 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Registered DietitianTaxonomy code 133V00000X
License
1045028 Issued in VA
Practice address
250 Wylderose CMNS
Midlothian, VA 23113-6918
Phone
(804) 592-0095
Fax
(804) 655-6183
NPI assigned
Oct 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Dietitian 133V00000X 1045028 VA Primary

Addresses

Primary practice location

250 Wylderose CMNS
Midlothian, VA 23113-6918

Mailing address

250 Wylderose CMNS Ste 200
Midlothian, VA 23113-6918
Phone (804) 592-0095

Other practice location 1

8006 Discovery Dr Ste 400
Henrico, VA 23229-8600
Phone (804) 592-0095

Other practice location 2

7300 Ashlake Pkwy Ste 200
Chesterfield, VA 23832-2827
Phone (804) 592-0095

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121207000190 VA Practitioner - Registered Dietitian Or Nutrition Professional 0840442315 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Registered Dietitian Or Nutrition Professional
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nourish2Flourishrva LLCGroup PAC ID 6406162023, 4 clinicians

Practice addresses (Care Compare)

250 Wylderose CMNS
Suite 200
Midlothian, VA 23113-6918
Phone (804) 592-0095

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Nourish2Flourishrva LLC Dietitian, Registered CurrentSince Sep 5, 2022 Accepting new patients
Vitalcare Family LLC PastSince Jan 13, 2021 Accepting new patients

Locations

7300 Ashlake Pkwy
Ste 200
Chesterfield, VA 23832
Phone (804) 256-8282

250 Wylderose Commons
Ste 200
Midlothian, VA 23113
Phone (804) 592-0095

2342 Colony Crossing Pl
Midlothian, VA 23112
Phone (804) 639-1112

8006 Discovery Dr
Ste 400
Richmond, VA 23229
Phone (804) 256-8282

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GCGCBD

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1349049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706659200000",
    "number": "1982955951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 WYLDEROSE CMNS STE 200",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136918",
            "telephone_number": "804-592-0095",
            "fax_number": "804-655-6183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WYLDEROSE CMNS",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231136918",
            "telephone_number": "804-592-0095",
            "fax_number": "804-655-6183"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8006 Discovery Dr Ste 400",
            "address_purpose": "LOCATION",
            "city": "Henrico",
            "state": "VA",
            "postal_code": "232298600",
            "country_code": "US",
            "telephone_number": "804-592-0095",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7300 Ashlake Pkwy Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chesterfield",
            "state": "VA",
            "postal_code": "238322827",
            "country_code": "US",
            "telephone_number": "804-592-0095",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "KELSEY",
        "middle_name": "LEIGH",
        "name_prefix": "Mrs.",
        "credential": "R.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-01",
        "last_updated": "2024-01-31",
        "certification_date": "2024-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "VA",
            "license": "1045028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.